GAIL C CHAMPLIN
Licensed Clinical Social Worker


Address: 10 Shagbark Lane, North Canton, CT 06059

GAIL C CHAMPLIN (Credential# 779440) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is December 27, 1994. The license expiration date date is December 31, 1995. The license status is INACTIVE.

Business Overview

GAIL C CHAMPLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.001138. The credential type is licensed clinical social worker. The effective date is December 27, 1994. The expiration date is December 31, 1995. The business address is 10 Shagbark Lane, North Canton, CT 06059. The current status is inactive.

Basic Information

Licensee Name GAIL C CHAMPLIN
Credential ID 779440
Credential Number 58.001138
Credential Type Licensed Clinical Social Worker
Business Address 10 Shagbark Lane
North Canton
CT 06059
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-09-30
Effective Date 1994-12-27
Expiration Date 1995-12-31
Refresh Date 2009-07-08

Office Location

Street Address 10 SHAGBARK LANE
City NORTH CANTON
State CT
Zip Code 06059

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
John Downey 67 Wright Road, North Canton, CT 06059 Sub-surface Sewage Installer 2020-09-01 ~ 2021-08-31
Anastasia Teterichko 30 Litchfield Lane, New Hartford, CT 06059 Advanced Practice Registered Nurse 2020-06-01 ~ 2021-05-31
Sandra L Pernal 529 Cherry Brook Rd, North Canton, CT 06059 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Hugh P Brown Carpentry LLC 7 Shagbark Lane, North Canton, CT 06059 Home Improvement Contractor 2020-04-06 ~ 2020-11-30
Hannah A Kelly 642 Cherrybrook Road, North Canton, CT 06059 Pharmacy Technician 2016-05-02 ~ 2017-03-31
Virginia S Bohn Rfd, North Canton, CT 06059 Notary Public Appointment 1986-02-01 ~ 1991-03-31
Sandra L Pernal Po Box 375, North Canton, CT 06059 Notary Public Appointment 2018-05-01 ~ 2023-04-30
Donna L Dary 24 Case Road, North Canton, CT 06059 Notary Public Appointment 1989-04-01 ~ 1994-03-31
Barbara Jo Madler 23 South Road, North Canton, CT 06059 Notary Public Appointment 2009-05-05 ~ 2014-05-31
Blaise D'anzi 44 Ridge Road, North Canton, CT 06059 Notary Public Appointment 1998-06-01 ~ 2003-05-31
Find all Licenses in zip 06059

Competitor

Search similar business entities

City NORTH CANTON
Zip Code 06059
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + NORTH CANTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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